648例产后女性盆底康复疗效分析

Analysis of 648 cases of postpartum female pelvic floor rehabilitation

目的:探讨盆底康复治疗对产后女性盆底肌力的改善情况。方法:分别对2015-2017年我院产后门诊就诊的177例剖宫产患者及471例顺产患者进行盆底肌力测试,制定1个疗程连续10次的盆底康复治疗方案,比较盆底康复实施前后盆底肌力评分改变。结果:盆底康复治疗前的剖宫产及顺产患者盆底肌力无明显差异(P>0.05),经过盆底康复治疗后的剖宫产及顺产患者盆底肌力均得到明显提升(P<0.05),顺产患者盆底肌力改善优于剖宫产患者(P<0.05),顺产患者的产后盆腔康复全疗程治疗依从率高于剖宫产患者(P<0.05)。结论:盆底康复治疗对产后女性盆底肌力恢复效果明显,顺产患者更为显著。需指导患者树立正确的分娩观念,进一步向患者提供更多的干预,增加剖宫产患者的盆底康复依从率,提高盆底康复效果。

Objective:To explore the improvement of pelvic floor function in postpartum women after receiving pelvic floor rehabilitation.Methods:Pelvic floor muscle strength tests were performed on 177 cases of cesarean section patients and 471 cases of normal delivery patients who attended the postpartum clinic of Longquanyi Maternity and Child Health Care Hospital from 2015 to 2017,and a pelvic floor rehabilitation treatment plan was developed for a course of 10 consecutive times.The changes of pelvic floor muscle strength score before and after pelvic floor rehabilitation were compared.Results:There was no significant difference in pelvic floor muscle strength between cesarean section and normal delivery patients before pelvic floor rehabilitation(P>0.05).After pelvic floor rehabilitation treatment,the pelvic floor muscle strength of patients with cesarean section and spontaneous delivery were significantly improved(P<0.05).The improvement of pelvic floor muscle strength in normal delivery patients is better than that of cesarean delivery patients(P<0.05).The compliance rate of postpartum pelvic rehabilitation in patients with natural labor was higher than that in patients with cesarean section(P<0.05).Conclusions:Pelvic floor rehabilitation therapy has a significant effect on the recovery of postpartum women’s pelvic floor muscle strength,and it is more pronounced for normal delivery patients.It is necessary to guide patients to establish the correct concept of childbirth and provide more intervention for cesarean section patients to increase the proportion of postpartum female pelvic floor rehabilitation and improve the rehabilitation effect.